Individual
SCOTT KISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5034 GREENWOOD AVE, ROCKFORD, MN 55373-4580
(952) 290-6688
Mailing address
5034 GREENWOOD AVE, ROCKFORD, MN 55373-4580
(952) 290-6688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6620
MN
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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